NPI: 1609245943 · NEW HYDE PARK, NY 11042 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,263 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 347 | 341 | $11K |
| S0621 | Routine ophthalmological exa | 237 | 231 | $10K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 40 | 39 | $5K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 235 | 234 | $5K |
| V2784 | Lens polycarb or equal | 78 | 69 | $3K |
| S0620 | Routine ophthalmological exa | 56 | 56 | $2K |
| V2025 | Eyeglasses delux frames | 30 | 29 | $2K |
| 92014 | 18 | 15 | $1K | |
| V2100 | Lens spher single plano 4.00 | 62 | 61 | $1K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 62 | 55 | $1K |
| 92015 | 75 | 69 | $959.74 | |
| V2410 | Lens variab asphericity sing | 23 | 21 | $72.00 |